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Bridgewater State
HospitalPAST, PRESENT & FUTURE
HISTORICAL INFORMATION
Titicutt Follies Film 10/3/1967
New Facility Built 1970
Various Health Contractors
Now Mass Partnership for Correctional Health - MPCH
What’s At Bridgewater?
Originally constructed in 1855, today MCl-Bridgewater consists of the
following facilities:
Bridgewater State Hospital : medium security prison housing approximately 300 patients and administered by the Department of Correction.
Mass Treatment Center medium security, criminal & civil sex offenders
MASAC minimum security – Sec 35 commitments for treatment for males
Old Colony Correctional Center (OCCC) Mental Health Focused Facility
WHO IS AT BRIDGEWATER TODAY?
305 Male Residents – 250 Patients
53 Cadre (Inmates who are Workers)
710 Admissions Annually
542 Discharges Annually
113 Discharged to DMH
Revolving Door/Dumping Ground
How Does Someone End Up At BSH
Court-ordered evaluation under an applicable section of Mass
General Law Chapter 123. The length of the observation period
can range from twenty to forty days, based upon the purpose of
the evaluation. Such evaluations are completed in the effort to
determine the following:
Competency to stand trial
Determination of criminal responsibility
HOW DOES SOMEONE END UP AT BSH
Ability to await trial in a penal environment
Ability to serve a sentence in a penal environment
Need for further treatment and/or strict security
following a finding of not guilty by reason of insanity
Sentencing evaluation
AFTER EVALUATION – WHAT HAPPENS
Patients may be committed to this facility following the completion of their observation period if it is determined that they need further treatment and evaluation. Commitment periods can range from six months to one year, and must be ordered by the court
MUST BE COMMITTED TO STAY AT BSH
CPCS Attorneys Represent Patients in Commitment Hearings:
18As – State Inmates
18As – County inmates
7 & 8s - Civil Commitments
Not Guilty by Reason of Insanity - NGRI
14s - Transfers from DMH
HOW ARE THEY HOUSED
A, B & C UNITS Quiet Rooms, Comfort Rooms
MAX 1 & 2 FOR MOST AGGRESSIVE PATIENTS
MED WEST – NEED CLOSE WATCH - HIGH PROFILE/VULNERABLE PATIENTS
INFIRMARY – SICK, TREATMENT, ELDERLY
INTENSIVE TREATMENT UNIT – 13 BED Unit – Humane Restraint System
Treatment Programs
Commons Building – gym, cafeteria, chapel, clubhouse, library
RECENT HISTORY OF STATE HOSPITAL
2009 --DEATH OF JOSHUA MESSIER
2009-2013 GLOBE SPOTLIGHT ON MESSIER AND OTHER DEATHS
2014 DLC INVESTIGATION Focusing on excessive and inappropriate use of
restraint and seclusion
2014 MINICH LAWSUIT Focus also on excessive use of R&S with 3 named
plaintiffs but state agreed to class
2014/2015 Both Agreements Finalized
DLC AGREEMENT – DLC MONITOR
REDUCE USE OF RESTRAINT AND SECLUSION
TRAINING FOR STAFF
COLLABORATE WITH DMH – STEPDOWNS AND TRANSFERS
NEW POLICIES REGARDING USE OF RESTRAINT AND SECLUSION MEMORIALIZED IN DOC 651
ICPS FOR THOSE ORDERED TO ITU FREQUENTLY
ACCESS TO OUTDOOR RECREATION AREA
DLC CALLS FOR TRANSFER OF BSH FROM DOC TO DMH (LIKE 48 OTHER STATES)
EXPIRES DECEMBER 14, 2016
MINICH AGREEMENT – DLC MONITOR
Focus also on reduction of use of restraint and seclusion
Legible orders
Review of patient in restraint every 12 hours & Seclusion every 48 hours
ICPs for Patients
Family Support Groups
Change Milieu of ITU – Phone Calls, Outdoor Rec, Access to Hygiene
Training for Staff
Minich Agreement Expires March 2017 (unless extended)
DLC MONITORS BOTH AGREEMENTS
DLC staff – 4 Attorneys are at BSH 3 days per week
Restraint and Seclusion reduced dramatically
Still over used and used for the wrong reasons
Concerns regarding appropriate mental health and
medical care continue
DOC environment still not a good one for
treatment/recovery.
BAD TO WORSE
CONCERNS ABOUT FUTURE OF BSH WITH BAKER ADMINISTRATION
FAMILY MEETING APRIL 7TH
LEO MARINO DEATH APRIL 8TH
DLC INVESTIGATES DEATH
FINDINGS ARE DISTURBING
LEO DIED CHOKING TO DEATH ON TOILET PAPER HE RECEIVED FROM MH WORKERS CHARGED WITH WATCHING HIM 24/7
ALSO WATCHED BY CO’s WATCHING LIVE VIDEO STREAM FROM CAMERA IN CELL
LEO KILLED HIMSELF WHILE THOSE REQUIRED TO WATCH HIM DID NOTHING TO PREVENT IT
LEO MARINO
Death Investigation and our subsequent
investigation of Mr. Marino’s time at Bridgewater,
confirms that Bridgewater not capable of treating
and caring for this population
DLC Again calls for removal of this facility from DOC
control and that DMH take responsibility for the
treatment of these patients
LEO MARINO
DLC ISSUES FINDING OF NON COMPLIANCE WITH MINICH
AGREEMENT AND MINICH CASE REOPENED
MINICH ATTORNEYS CALL FOR PLACEMENT IN
RECEIVERSHIP
UNLESS SETTLED AGAIN, MINICH COULD EXTEND TIME OF
AGREEMENT AND MONITORING
PROGRESS BEGINS???
APRIL 28TH - FAMILIES MEET WITH GOV BAKER’S CHIEF OF
STAFF, SEC BENNETT, SEC SUDDERS & BSH GEN COUNSEL
FAMILIES EXPRESS CONCERNS ABOUT LACK OF
TREATMENT, INAPPROPRIATE TREATMENT OF FAMILIES
WHEN TRYING TO GIVE INPUT AND WHEN VISITING
FAMILY COUNCIL MEETINGS ARE SCHEDULED
VISITING HOURS ARE EXPANDED
RECENT DEVELOPMENTS
HEARING HELD BY JOINT COMMITTEE ON MENTAL HEALTH & SUBSTANCE
ABUSE ON SEPTMEBER 13TH
RFP FOR NEW PROVIDER OF MENTAL HEALTH AND MEDICAL CARE
ANNOUNCED
ENHANCED QUANTITY AND QUALITY – MORE TREATMENT STAFF AND LESS
COS
MOVING VARIOUS POPULATIONS TO OCC AND OTHER PLACES
PROMISING AND HOPEFUL BUT CONCERNS REMAIN
OCC: BRIDGEWATER ANNEX
18As State Inmates sent to BSH will be moved to OCC
3 units at OCC
Recovery Unit
Stabilization Unit
Infirmary
Separate Outside/Recreation Area
Will be Accredited and Must Remain Separate from OCC Inmates
WHERE WE ARE TODAY
It is a prison and not a hospital, a culture of punishment not of
therapy
You cannot change it by replacing administrators --there are some
very good ones there, and their inability to fix BSH only proves the
need for larger systemic change
You cannot change it by cosmetics: new coats of paint, or murals,
or landscaping, sprucing up the courtroom or visiting room, or
installing better cameras, as nice as all of that may be;
STILL BELIEVE BSH MUST BE TRANSFERRED TO DMH